This 'sleep regression' better at least lead to some talking 🙃🙃🙃😴😴😴

A few doctors striking for a few days will not be what causes the collapse of the NHS. Years of chronic underfunding and mismanagement will do that for you.

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I wonder if many others are concerned about the NHS reliance on Microsoft? - with 'cost saving', we don't have desktop apps anymore, so saving and using files outside of 365 is increasingly challenging.... doesn't this feels like a much safer and more sustainable option?

Me having to prove to my cat that the tin I just opened wasn't tuna

EM types.... Does anyone have any good resources on informal performance management, eg shop floor performance management by SpR/Cons leading shift as opposed to in an Educational Supervisor role?

We’re putting on a conference for those interested in community emergency medicine on 8th May 2025 in London - keen people please sign up to register interest for when tickets are available! docs.google.com/forms/d/e/1F...

“The pressures in accident-and-emergency units are as bad as during the Covid pandemic, NHS bosses say.” Although, of course, it still is the pandemic.

#TipsForNewDocs You too will be a patient one day. Remember that. With every word you speak, every look you give and every standard you accept, remember that.

One group to listen to - actuaries. Mostly apolitical with one objective only, accurate underwriting of insurance so profits stay up. Results for first 8 months of 2024, over a baseline of expected Covid deaths (ie, this is higher that baseline) www.actuaries.digital/2024/12/17/m...

Christmas can be hard for healthcare professionals, too. Some wisdom from Dr. Liz Crowe and @docib.bsky.social for @stemlyns.bsky.social here: www.stemlynsblog.org/podcast-grie... #FOAMed #MedSky #wellness

It still astonishes me that more people in politics and our media pretend to be concerned about kids having missed school than kids having been killed or sickened by Covid.

Headlines are warning of a 'quad-demic' about the hit the NHS, but data show that a 'quad-demic' is v unlikely. The worry is not that the NHS is about to be hit by unprecedented demand, but that it is unable to cope with normal demand. I've written about it here open.substack.com/pub/christin...

If you’ve just arrived, I have this handy book about burnout for you: amzn.eu/d/gGtEZ0k

Intro tweet: I'm Richard, an EM/PEM doc in London with interest in med (and all) tech, ED decision making/education and career sustainability. I'm 9 months into 'Dad' training and currently on a 2 month post-CCTing break to focus on family life, before starting a Consultant job in Jan